Department of leisure and sports management, Chengshiu University, Kaohsiung 83347, Taiwan.
Center for Environmental Toxin and Emerging-Contaminant Research, Chengshiu University, Kaohsiung 83347, Taiwan.
Int J Environ Res Public Health. 2020 Oct 22;17(21):7705. doi: 10.3390/ijerph17217705.
The adolescent depressive prodrome has been conceptualized as an early integrated sign of depressive symptoms, which may develop to a first episode of depression or return to normal for the adolescents. In this study, depressive prodrome presented the early self-rated depressive symptoms for the sample participants. By referring to the Kutcher Adolescent Depression Scale and the psychometric characteristics of the Adolescent Depression Scale (ADR), we proposed a self-rated questionnaire to assess the severity of the depressive symptoms in adolescents before and after attending the jogging program on a high school campus in Taiwan. With the parental co-signature and self-signed informed consent form, 284 high school students under the average age of 15 years, participated in this study in March 2019. Through the software of IBMSPSS 25, we used a binary logistic model, principal component analysis (PCA), multiple-dimensional analysis, and receiver operating characteristic curve (ROC) to analyze the severity of the depressive prodrome via the threshold severity score (SC) and false positive rate (FPR). Findings revealed that attending the 15-week jogging program (3 times a week, 45 min each) on campus can change the severity status and reduce the prevalence of moderate-severe depressive prodrome by 26%. The two-dimensional approach identified three symptoms, which were the crying spell, loss of pleasure doing daily activities, and feeling the decline in memory. They kept being invariant symptoms during the course of depressive prodrome assessment for sample participants. In this study, the campus jogging program appeared to be able to affect the FPR of the measure of depressive prodrome. Compared with the subthreshold depression, the depressive prodrome emphasized the assessment from the view of the secondary prevention by representing the change from a person's premorbid functioning up until the first onset of depression or returning to normal. However, the subthreshold depression is a form of minor depression according to DSM-5 criteria varying on the number of symptoms and duration required, highly prevalent in the concern of primary care.
青少年抑郁前驱期被概念化为抑郁症状的早期综合标志，可能发展为首次抑郁发作，也可能恢复正常。在本研究中，抑郁前驱期表现为样本参与者的早期自我评估抑郁症状。通过参考 Kutcher 青少年抑郁量表和青少年抑郁量表（ADR）的心理测量特征，我们提出了一个自我评估问卷，以评估台湾一所高中校园慢跑计划前后青少年抑郁症状的严重程度。在获得家长的共同签名和自我签署的知情同意书后，284 名年龄均在 15 岁以下的高中生于 2019 年 3 月参加了这项研究。通过 IBM SPSS 25 软件，我们使用二项逻辑模型、主成分分析（PCA）、多维分析和接收器操作特征曲线（ROC），通过阈值严重程度评分（SC）和假阳性率（FPR）来分析抑郁前驱期的严重程度。研究结果表明，参加校园 15 周慢跑计划（每周 3 次，每次 45 分钟）可以改变严重程度状态，将中度至重度抑郁前驱期的发生率降低 26%。二维方法确定了三个症状，即哭泣发作、日常活动丧失乐趣和记忆力下降。它们在整个抑郁前驱期评估过程中一直是不变的症状。在本研究中，校园慢跑计划似乎能够影响抑郁前驱期评估措施的 FPR。与阈下抑郁相比，抑郁前驱期强调了从二级预防的角度进行评估，代表了一个人从发病前的功能状态到首次抑郁发作或恢复正常的变化。然而，根据 DSM-5 标准，阈下抑郁是一种轻度抑郁形式，其症状数量和持续时间要求不同，在初级保健中非常普遍。
